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1023221926
LEON WISE
STREATOR, IL
NPI
1023221926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036.123706)
Enumeration Date
2007-05-07
Last Update Date
2023-10-23
Business Address
Dr. LEON WISE M.D.
111 SPRING ST
STREATOR, IL 61364-3332
Phone number: 815-673-4642
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Mailing Address
Dr. LEON WISE M.D.
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272
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